NCLEX Practice Test PN
Question 1 of 5.
The nurse is talking with the parent of a pediatric client who had a cast applied to the right arm 30 minutes ago. Which of the following statements by the parent would require follow-up?
A. I understand that my child may feel tingling or burning underneath the cast for the first few days.
B. I can use a hair dryer to blow cool air underneath the cast if my child experiences itching.
C. I will call the clinic if my child experiences pain that is not relieved with medication.
D. I should keep my child's arm elevated while resting for the first few days.
Explanation: Tingling or burning may indicate neurovascular compromise or pressure on nerves, requiring immediate evaluation, not dismissal as normal.
Question 2 of 5.
The nurse hears another staff member talking in a crowded elevator about a client on the unit. The client is identified by name and details of illness. What action should the practical nurse take at this time?
A. Report the behavior to the head nurse
B. Report the behavior if it happens again
C. Interrupt the conversation in the elevator
D. Speak to the staff member when he/she gets off the elevator
Explanation: Speaking to the staff member privately after the elevator ride addresses the HIPAA violation discreetly, promoting education and correction without immediate escalation.
Question 3 of 5.
The mother of a 4-month-old infant calls the physician's office reporting that her child has a temperature of 101°F and a rash that is blanchable and doesn't itch. What does the LPN expect will be ordered for this child?
A. Aspirin
B. Ibuprofen
C. Acetaminophen
D. Antibiotics
Explanation: Acetaminophen is safe for fever in infants, addressing the temperature while the non-itchy, blanchable rash is monitored, likely viral.
Question 4 of 5.
A client who has Type 1 diabetes mellitus is admitted for alcohol detoxification. A moderate sliding scale for insulin is ordered. How often should the nurse expect to take glucose levels?
A. Every time medication is administered
B. When the client is symptomatic
C. Before meals and at bedtime
D. Every two hours
Explanation: Sliding scale insulin for Type 1 diabetes requires glucose checks before meals and at bedtime to adjust dosing, ensuring glycemic control.
Question 5 of 5.
The physician has recommended that an adult male be scheduled for a left heart catheterization. The client asks the nurse what a cardiac catheterization is for. What information should be included when responding to this client?
A. During a left heart catheterization, the coronary arteries can be visualized.
B. During a left heart catheterization, holes in the heart walls can be detected.
C. During a left heart catheterization, blood flow to the lungs can be measured.
D. During a left heart catheterization, oxygen levels in the chambers of the heart are measured.
Explanation: Left heart catheterization visualizes coronary arteries to assess for blockages, aiding in diagnosing coronary artery disease.
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